In Coding
Apr 1st, 2019
Make quick and easy work of determining which procedures and services are bundled and when. Most coders, billers, and clinicians are familiar with the concept of the surgical package or global period; but they may be unclear about when the global period begins and ends, and which procedures and services may be reported (and paid ...
In Billing
Apr 25th, 2018
Per national Correct Coding Initiative (CCI) Chapter 3 guidelines, a procedure with a 90 day global period “is defined as a major surgical procedure.” The 90 day global period actually extends to 92 days, to include one day before the day of the surgery, the day of surgery, and the 90 days immediately following the day of ...
In Billing
Mar 1st, 2018
Is the caring for, and treatment of post-operative complications in the global period coded and billable?  To answer this question, You first must know who the third-party payer is because different payers have different rules. What’s the Global Issue? Medicare says they will not pay for any care for post-operative complications or exacerbations in the global ...
In CMS
Feb 8th, 2016
The CPT® codebook defines the following as “always included” in the global fee (global period) for a surgery or procedure: Subsequent to the decision for surgery (procedure), one related E/M encounter on the date immediately prior to, or on the date of, the procedure Immediate postoperative (post-procedure) care, including talking with the family and other physicians ...
Determine when to bundle and when to separately bill services. Karla M. Hurraw, CPC-A, CCS-P Many payers bundle an evaluation and management (E/M) service when reported on the same day as a minor surgical procedure. National Correct Coding Initiative (NCCI) edits routinely bundle E/M services with minor surgical procedures, and the Centers for Medicare & ...